期刊文献+

结节或包块型不典型肺结核CT影像特征及意义 被引量:4

NODULES AND MASSES OF ATYPICAL PULMONARY TUBERCULOSIS:CT IMAGE FEATURES AND ITS SIGNIFICANCE
下载PDF
导出
摘要 目的比较不典型结节和包块型肺结核的影像学特征及误漏诊原因。方法对CT误诊为肺癌的结节或包块型不典型肺结核56例(肺结核组)与病理确诊为肺癌60例(肺癌组)病人的影像学资料进行回顾性分析,比较其CT影像特征。结果两组毛刺征、分叶征、空泡征、支气管充气征、胸膜凹陷征、血管集束征和增强情况比较,差异有统计学意义(χ2=8.52~40.95,P〈0.01);肺癌组5~7种征象联合出现率显著高于肺结核组,差异具有统计学意义(χ2=12.97,P〈0.01);肺癌组1种征象出现率显著低于肺结核组,差异有统计学意义(χ2=12.53,P〈0.01)。结论结节或包块型不典型肺结核诊断应与肺癌相区别,多种特异性指标的联合评价对提高鉴别率有益。 Objective To compare imaging features between atypical nodule-and packet-type pulmonary tuberculosis(PTB)and the reasons of its misdiagnosis. Methods Image data of 56 cases of atypical PTB(PTB group)which were misdiagnosed by CT as having lung cancer due to nodules or masses,and 60 cases of lung cancer confirmed by pathology were reviewed retrospectively.The CT features were analyzed. Results The signs of spiculation,lobulation,vacuole,bronchial gasing,pleural indentation and blood vessel bundle were statistically different between the two groups(χ2=8.52-40.95,P〈0.01).In cancer group,the appearance rate of 5-7above signs was much higher than the PTB group(χ2=12.97;P〈0.01).In cancer group,the appearance rate of only one above sign was much lower than the PTB group(χ2=12.53,P〈0.01). Conclusion A diagnosis of atypical nodule-or mass-type pulmonary tuberculosis should be distinguished from lung cancer,a combination of multiple specific markers is beneficial to the differential diagnosis.
作者 李广明 陈辉
出处 《齐鲁医学杂志》 2015年第6期692-694,共3页 Medical Journal of Qilu
关键词 结核 肺肿瘤 体层摄影术 X线计算机 延迟诊断 tuberculosis,pulmonary lung neoplasms tomography,X-ray computed delayed diagnosis
  • 相关文献

参考文献15

二级参考文献121

共引文献130

同被引文献33

引证文献4

二级引证文献16

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部